<!doctype html>
<html lang="en" xmlns:th="http://www.thymeleaf.org">
<head>
<base th:href="@{/}">
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
<meta http-equiv="pragma" content="no-cache" />
<meta http-equiv="cache-control" content="no-cache" />
<meta http-equiv="expires" content="0" />
	<th:block th:include ="commHeaderInclude::commHead">
	</th:block>
<!--script end-->

<title>填写成交单</title>
</head>
<body>
	<div class="content-wrapper">
		<div class="breadCrumb">
			<i class="mdi mdi-map-marker"></i>
			<span>医保贷业务系统<i class="mdi mdi-chevron-double-right"></i>融资服务<i class="mdi mdi-chevron-double-right"></i>我要融资</span>
		</div>
		<form name="form" id="form" class="form" method="post" action="{formUrl}" target="submitWindowFrame">
			<div class="card mb-3">
				<div class="card-body">
					<h4 class="card-title">选择融资账款</h4>
					<div class="module vTable">
						<table cellpadding="0" cellspacing="0">
							<tbody>
								<tr>
									<th class="required">选择账款</th>
									<td>
										<iframe src="" frameborder="0" scrolling="no" seamless class="iframe" name=""
											id=""></iframe>
									</td>
								</tr>
								<tr class="financingSelector">
									<th class="required">选择融资申请单</th>
									<td>
										<iframe src="" frameborder="0" scrolling="no" seamless class="iframe" name=""
											id=""></iframe>
										<input type="hidden" name="financingIds" id="financingIds" />
									</td>
								</tr>
								<tr>
									<th class="required">资金方信息</th>
									<td><a id="bankOrgName">{founderUserOrgName}</a> 　<a
											href="{founderUserOrgDetailUrl}" target="windowFrame"
											title="债权人信息">[查看详情]</a></td>
								</tr>
								<tr>
									<th>借款人信息</th>
									<td><a id="creditorOrgName">未选择</a>　<a href="" id="creditorOrgNameLink"
											target="windowFrame" title="债权人信息">[查看详情]</a>　<a href=""
											id="creditorRegInfoLink" target="fullScreenWindowFrame"
											title="债权人信息">查询该借款人的动产和权利担保登记信息</a>
									</td>
								</tr>
								<tr>
									<th class="required">医保清算表</th>
									<td><a href="{founderUserOrgDetailUrl}" target="windowFrame" title="债权人信息"
											class="btn btn-primary">选择文件</a>
										<small class="text-muted">附件格式为jpg jpeg png pdf rar zip，单个附件大小不超过10M</small>
									</td>
								</tr>
							</tbody>
						</table>
					</div>
				</div>
			</div>
			<div class="card mb-3">
				<div class="card-body">
					<h4 class="card-title">选择融资模式</h4>
					<div class="module vTable">
						<table cellpadding="0" cellspacing="0">
							<tbody>
								<tr class="financingModel">
									<th class="required">融资模式</th>
									<td><input name="financingModel" id="financingModel_1" type="radio" value="0"
											checked="checked" />
										单笔融资　
										<input name="financingModel" id="financingModel_2" type="radio" value="1" />
										池融资
									</td>
								</tr>
							</tbody>
						</table>
					</div>
				</div>
			</div>
			<div class="card mb-3">
				<div class="card-body">
					<h4 class="card-title">选择融资模式</h4>
					<div class="module" id="financingModeModule">
						<table cellpadding="0" cellspacing="0" class="hTable">
							<thead>

								<tr>
									<th>数据项1</th>
									<th>数据项2</th>
									<th>数据项3</th>
									<th>数据项4</th>
									<th>数据项5</th>
									<th>数据项6</th>
									<th>数据项7</th>
									<th>数据项8</th>
									<th>数据项9</th>
								</tr>
							</thead>
							<tbody>
								<tr class="">
									<td>1</td>
									<td>2</td>
									<td>3</td>
									<td>4</td>
									<td>5</td>
									<td>6</td>
									<td>7</td>
									<td>8</td>
									<td>9</td>
								</tr>
								<tr class="">
									<td>1</td>
									<td>2</td>
									<td>3</td>
									<td>4</td>
									<td>5</td>
									<td>6</td>
									<td>7</td>
									<td>8</td>
									<td>9</td>
								</tr>
								<tr class="">
									<td>1</td>
									<td>2</td>
									<td>3</td>
									<td>4</td>
									<td>5</td>
									<td>6</td>
									<td>7</td>
									<td>8</td>
									<td>9</td>
								</tr>
								<tr class="">
									<td>1</td>
									<td>2</td>
									<td>3</td>
									<td>4</td>
									<td>5</td>
									<td>6</td>
									<td>7</td>
									<td>8</td>
									<td>9</td>
								</tr>
							</tbody>
						</table>
					</div>
				</div>
			</div>
			<div class="card mb-3">
				<div class="card-body">
					<h4 class="card-title">选择交易类型</h4>
					<div class="module vTable">
						<table cellpadding="0" cellspacing="0" class="formTable">
							<tbody>
								<tr>
									<th class="required">交易类型</th>
									<td><input name="type" id="type_0" type="radio" value="01" />
										质押　
										<input name="type" id="type_1" type="radio" value="02" />
										转让
									</td>
								</tr>
								<tr class="resourceFlag">
									<th>是否有追索权</th>
									<td><input type="radio" value="1" name="resourceFlag" id="resourceFlag_0" />
										是　
										<input type="radio" value="0" name="resourceFlag" id="resourceFlag_1" />
										否
									</td>
								</tr>
							</tbody>
						</table>
					</div>
				</div>
			</div>
			<div class="card mb-3">
				<div class="card-body">
					<h4 class="card-title">融资信息</h4>
					<div class="module vTable" id="fillModule">
						<table cellpadding="0" cellspacing="0">
							<tbody>
								<tr>
									<th class="required">借款/转让合同编号</th>
									<td>
										<input name="fcontractno" type="text" id="fcontractno" />
										<small class="text-muted">
											仅可以输入数字和小数点，最多输入12位整数和2位小数
										</small>
									</td>
								</tr>
								<tr>
									<th class="required">借款/转让合同签订日期</th>
									<td><input name="fcontractdate" type="text" id="fcontractdate"
											class="ht_dateInput" /></td>
								</tr>
								<tr>
									<th>借款/转让合同币种</th>
									<td><select data-source="fcontractcurrencySelect" id="fcontractcurrency"
											name="fcontractcurrency">
											<option value="aa">11</option>
										</select></td>
								</tr>
								<tr>
									<th>借款/转让合同金额</th>
									<td><input name="fcontractsum" type="text" id="fcontractsum" />
										<!--元-->
									</td>
								</tr>
								<tr>
									<th class="required">借款/转让金额(大写) </th>
									<td><span id="chineseAmount_fcontractsum" class="chineseAmount"
											name="chineseAmount"></span></td>
								</tr>
								<tr>
									<th>本次放款金额</th>
									<td><input name="loanAmount" type="text" id="loanAmount" />
										<!--元-->
									</td>
								</tr>
								<tr>
									<th>本次放款金额(大写) </th>
									<td><span id="chineseAmount_loanAmount" class="chineseAmount"
											name="chineseloanAmount"></span></td>
								</tr>
								<tr>
									<th>利率</th>
									<td><input name="interest" type="text" id="interest" />
										%</td>
								</tr>
								<tr>
									<th>融资比例</th>
									<td><input name="ratio" type="text" id='ratio' />
										%</td>
								</tr>
								<tr>
									<th>借款期限 起始日期</th>
									<td><input name="begindate" type="text" class="ht_dateInput" id="begindate" value=""
											size="13" data-options="endSelector:'[name=enddate]'" /></td>
								</tr>
								<tr>
									<th>借款期限 终止日期</th>
									<td><input name="enddate" type="text" class="ht_dateInput" id="enddate" value=""
											size="13" data-options="startSelector:'[name=begindate]'" /></td>
								</tr>
								<!-- 无用内容  -->
								<tr class="collateralNo">
									<th><span name="typeName">转让</span>合同编号</th>
									<td><input name="colcontractno" type="text" id="colcontractno" /></td>
								</tr>
								<tr class="collateralCurrency">
									<th><span name="typeName">转让</span>合同币种</th>
									<td><select data-source="colcurrencySelect" id="colcurrency" name="colcurrency">
											<option value="aa">11</option>
										</select></td>
								</tr>
								<tr class="collateralSum">
									<th><span name="typeName">转让</span>合同金额</th>
									<td><input name="collateralsum" type="text" id="collateralsum" />
										元</td>
								</tr>
								<tr class="collateralSum">
									<th><span name="typeName">转让</span>金额(大写) </th>
									<td><span id="chineseAmount_collateralsum" class="chineseAmount"></span></td>
								</tr>
								<tr class="balanceAmount">
									<th class="required">融资余额</th>
									<td>
										<input name="balanceAmount" type="text" id="balanceAmount" />元
									</td>
								</tr>
								<tr class="creditRating">
									<th class="required">五级分类</th>
									<td>
										<input name="creditRating" type="text" id="creditRating" />
										<small class="text-muted">请依据您公司的具体分类标准填写</small>
									</td>
								</tr>
								<!-- 无用内容  -->
								<tr>
									<th>备注</th>
									<td><textarea name="remark" cols="50" rows="5" id="remark"></textarea></td>
								</tr>
							</tbody>
						</table>
					</div>
				</div>
			</div>
			<div class="row">
				<input class="btn btn-primary btn-lg" name="submitButton" type="submit" id="previewButton" value="提 交" />
				<input class="btn btn-primary btn-lg" name="submitButton" type="submit" id="previewButton" value="预 览" disabled />
			</div>
		</form>
	</div>
</body>
</html>